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(11) | EP 0 688 787 A1 |
| (12) | EUROPEAN PATENT APPLICATION |
| published in accordance with Art. 158(3) EPC |
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| (54) | MEDICINAL COMPOSITION FOR BONE RESORPTION INHIBITION AND OSTEOGENESIS ACCELERATION |
| (57) A medicinal composition containing a compound represented by the general formula
(I): X-Y-Z (wherein Y represents a group represented by any of general formulae (III)
to (V), X represents a monovalent radical derived from a tetracycline compound; and
Z represents a monovalent radical derived from a steroid compound such as estrogen),
which can be intensively administered to bony tissues and has the effects of inhibiting
bone resorption and accelerating osteogenesis.
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TECHNICAL FIELD
BACKGROUND ART
DISCLOSURE OF THE INVENTION
BRIEF DESCRIPTION OF THE DRAWINGS
BEST MODE FOR CARRYING OUT THE INVENTION
Formula (II-I):
Formula (II-2):
Formula (II-3):
Formula (II-4):
Formula (II-5):
Formula (VI-1):
Formula (VI-2):
Formula (VI-3):
Formula (VI-4):
EXAMPLES
Synthesis Example 1
Synthesis Example 2
2-1. Synthesis of 2-1.N-[17β-hydroxy-estra-1,3,5 (10)-trien-3-oxyethyl]piperazine
(Compound 2-1):
3.8g of the compound (1-2) of Example 1 was dissolved in methyl alcohol. After
0.5g of potassium borohydrate was added under an alkaline condition, the reaction
mixture was reacted under heating and turning flow for 3 hours. The reaction solution
was neutralized by an acid and methyl alcohol was evaporated. The resulting solid
component was recrystallized from alcohol. Finally, a white crystal (compound 2-1,
R₇ = H) was obtained. The yield was 91%.
m.p. = 141 to 142°C
elementary analysis: C 75.21, H 9.23, N 7.14
2-2. Synthesis of N-4-[17β-hydroxy-estra-1,3,5 (10)-trien-3-oxyethyl]-piperazine-1-methylene-tetracycline
(Compound 2-2):
3.84g of the compound (2-1) described above, 0.03g of metaformaldehyde and 20 mℓ
of isopropanol were reacted at 40°C for 2 hours. After 3.5g of tetracycline was added,
the reaction mixture was stirred and reacted for 5 hours. After the reaction was completed,
the reaction product was filtrated and was washed with isopropanol and ethyl ether.
Thereafter, a pale yellow solid matter (compound 2-2) (R₁ = R₄ = H, R₂ = OH, R₃ =
CH₃) was obtained. The yield was 95%.
m.p. = 165°C (dec)
elementary analysis: C 67.30, H 7.34, N 6.54
Synthesis Example 3
Synthesis Example 4
4-1. Synthesis of bis-N,N-[17-oxy-estra-1,3,5 (10)-trien-3-oxyethyl]amine (Compound
4-1)
A NaOH solution was added to a mixture of 3.6g of mastagen chloride, 12g of estron,
4g of triethyl aniline, water and toluene with stirring. After the mixed solution
was subjected to refluxing for 5 hours, the solvent was evaporated. The solid content
was recrystallized from alcohol, and the intended product was obtained. The yield
was 72%.
m.p. = 256 to 259°C
elementary analysis: C 78.50, H 8.60, N 2.31
4-2. Synthesis of bis-N,N-[17-oxy-estra-1,3,5 (10)-trien-3-oxyethyl]aminomethylene-tetracycline
(Compound 4-2):
6.1g of the compound (4-1) described above, 0.03g of metaformaldehyde and 20 mℓ
of isopropanol were reacted at 40°C for 2 hours. After 3.5g of tetracycline was added,
the reaction mixture was stirred and reacted for 8 hours. After the reaction was completed,
a pale yellow solid matter (compound 4-2) (R₁ = R₄ = H, R₂ = OH, R₃ = CH₃) was obtained.
The yield was 68%.
m.p. = 183°C (dec)
elementary analysis: C 71.10, H 7.21, N 3.89 The structure was represented by the
following molecular formula:
Synthesis Example 5
5-1. Synthesis of bis-N,N-[17β-hydroxy-estra-1,3,5 (10)-trien-3-oxyethyl]amine (Compound
5-1):
Methyl alcohol was added to 6.1g of the compound (4-1) described above, and after
0.5g of potassium borohydrate was added under an alkaline condition, the reaction
was carried out under refluxing for 5 hours. Next, the reaction solution was neutralized
by an acid and methyl alcohol was evaporated. The solid matter was refined in an acetone
solution and an alcohol solution. Estron-17-ketone in the resulting compound (4-1)
was reduced to a white product having the -17β-hydroxyl group. The yield was 82%.
m.p. = 193 to 197°C
elementary analysis: C 78.41, H 8.51, N 2.33
5-2. Synthesis of bis-N,N-[17β-hydroxy-estra-1,3,5 (10)-trien-3-oxyethyl]aminomethylene-tetracycline
(Compound 5-2):
5.4g of the compound (5-1) described above, 0.03g of metaformaldehyde and 20 mℓ
of isopropanol were reacted at 40°C for 2 hours. After 3.5g of tetracycline was added,
the reaction mixture was stirred and reacted for 8 hours. After the reaction was completed,
a pale yellow solid matter (compound 5-2) (R₁ = R₄ = H, R₂ = OH, R₃ = CH₃) was obtained
in the same way as in Example 1-3. The yield was 94%.
m.p. = 171°C (dec)
elementary analysis: C 71.02, H 7.02, N 3.98 The structure was represented by the
following molecular formula:
Synthesis Example 6
6-1. Synthesis of bis-N,N-[17β-hydroxy-17α-ethynyl-estra-1,3,5 (10)-trien-3-oxyethyl]amine
(Compound 6-1):
6.1g of the compound (4-1) of Example 4 was dissolved in 100 mℓ of tetrahydrofuran
and 1.0g of potassium hydroxide powder, and the mixture was completely reacted at
0°C with vigorous stirring by introducing an acetylene gas. The reaction mixture was
neutralized to pH 4 by an acid and the solvent was evaporated. The reaction product
was then washed with water and was dried. It was further recrystallized from alcohol
and chloroform, and a white solid matter (6-1) was obtained. The yield was 78%.
m.p. = 201 to 205°C
elementary analysis: C 79.21, H 8.58, N 2.18 The structure was expressed by the
following molecular formula:
6-2.6. 6g of the compound (6-1) described above, 0.03g of metaformaldehyde and 20
mℓ of isopropanol were reacted at 60°C for 2 hours and then 3.4g of tetracycline was
added. The reaction mixture was stirred and reacted for 8 hours. After the reaction
was completed, a pale yellow solid matter (compound 6-2), i.e., bis-N,N-[17β-hydroxy-17α-ethynyl-estra-1,3,5
(10)-trien-3-oxyethyl]aminomethylene-tetracycline (R₁ = R₄ = H, R₂ = OH, R₃ = CH₃)
was obtained in the same way as Example 1-3. The yield was 93%.
m.p. = 178°C (dec)
elementary analysis: C 72.1, H 7.12, N 3.90 The structure was represented by the
following molecular formula:
Synthesis Example 7
7-1. Synthesis of N-[17-oxy-estra-1,3,5 (10)-trien-3-oxyethyl]-N-methylamine (Compound
7-1):
2.7g of estron, 1g of chloroethylmethylamine and a small amount of triethylaniline
were mixed with a toluene solution, and a sodium hydroxide solution was added. After
the pH was adjusted to about 10, the reaction mixture was reacted for 4 hours. Thereafter,
the solvent was evaporated, and the solid matter was recrystallized from alcohol to
obtain a compound (7-1, R₇ = H). The yield was 71%.
m.p. = 262 to 266°C
elementary analysis: C 75.24, H 9.41, N 4.28
7-2. 3.3g of the compound (7-1) described above, 0.03g of metaformaldehyde and 20
mℓ of isopropanol were reacted at 60°C for 2 hours and then 3.5g of tetracycline was
added. The reaction mixture was stirred and reacted for 8 hours. After the reaction
was completed, a pale yellow solid matter (compound 7-2), i.e., N-[17-oxy-estra-1,3,5
(10)-trien-3-oxyethyl]-N-methylaminomethylene-tetracycline (R₁ = R₄ = H, R₂ = OH,
R₃ = CH₃) was obtained in the same way as in Example 1-3. The yield was 90%.
m.p. = 190°C (dec)
elementary analysis: C 68.8, H 7.22, N 3.62 The structure was expressed by the
following molecular formula:
Synthesis Example 8
8-1. Synthesis of N-[3,17β-dihydroxy-estra-1,3,5 (10)-trien-6-aminoethyl]piperazine
(Compound 8-1):
5.2g of the compound (8-0) was dissolved in 120 mℓ of tetrahydrofuran, and 3.2g
of aminoethyl piperazine was added. The reaction mixture was subjected to refluxing
and was reacted for 2 hours. THF was evaporated and removed, and 100 mℓ of methyl
alcohol and 2.8g of formic acid were added. Refluxing was further carried out, and
the reaction mixture was reacted for 3 hours. Methyl alcohol was evaporated and removed,
and the residue was recrystallized from alcohol to obtain a compound 8-1.
m.p. = 172 to 177°C
8-2. Synthesis of N-4-(3,17β-dihydroxy-estra-1,3,5 (10)-trien-6-aminoethyl]-piperazine-1-methylene-tetracycline
(Compound 8-2):
4.1g of the compound (8-1) described above, 0.03g of metaformaldehyde and 20 mℓ
of isopropanol were mixed and were reacted at 50°C for 2 hours. After 3.5g of tetracycline
was added, the reaction mixture was stirred and reacted for 5 hours. After the reaction
was completed, the reaction product was filtrated, was washed with isopropanol and
ethyl ether, and was dried in vacuum to obtain a pale yellow solid matter (compound
8-2). The melting point was 167°C (dec) and the yield was 81.2%.
1. Preparation of 17β-estroalkynol
2. Preparation of 17β-estroalkynol diacetate
3. Preparation of 6-carbonyl-17β-estroalkynol diacetate (Compound (XII))
Synthesis Example 9
Synthesis Example 10
Synthesis Example 11
Synthesis Example 12
Synthesis Example 13
Synthesis Example 14
Synthesis Example 15
Synthesis Example 16
Synthesis Example 17
Synthesis Example 18
Synthesis Example 19
Synthesis Example 20
Synthesis Example 21
Synthesis Example 22
Synthesis Example 23
Synthesis Example 24
Synthesis Example 25
Synthesis Example 26
Synthesis Example 27
Synthesis Example 28
Synthesis Example 29
Synthesis Example 30
Synthesis Example 31
Experiment 1: Intracorporeal distribution of compound
| Change of drug quantity in tissue (cpm/mg tissue) | ||||||||
| hour | heart | ovary | womb | muscle | brain | stomach | intestines | bone |
| 1' | 40 | 40 | 28 | 28 | 20 | 30 | 53 | 38 |
| 5' | 43 | 48 | 37 | 32 | 13 | 39 | 138 | 32 |
| 15' | 38 | 37 | 24 | 15 | 9 | 28 | 85 | 23 |
| 30' | 37 | 41 | 30 | 22 | 10 | 32 | 150 | 23 |
| 1° | 13 | 19 | 12 | 11 | 7 | 12 | 28 | 15 |
| 4° | 8 | 15 | 7 | 7 | 7 | 10 | 13 | 11 |
| 6° | 10 | 17 | 9 | 6 | 6 | 9 | 12 | 9 |
| 24° | 8 | 7 | 4 | 4 | 4 | 6 | 6 | 9 |
| 48° | 4 | 7 | 4 | 5 | 4 | 4 | 4 | 6 |
| 72° | 4 | 6 | 4 | 4 | 3 | 3 | 3 | 5 |
| * Mean value of five animals | ||||||||
| Change of drug quantity in tissue (µg/mg tissue) | |||||
| hour | heart | ovary | womb | intestines | bone |
| 1' | 0.834 | 0.822 | 0.588 | 1.104 | 0.780 |
| 5' | 0.894 | 0.99 | 0.774 | 2.874 | 0.654 |
| 15' | 0.792 | 0.762 | 0.204 | 1.770 | 0.468 |
| 30' | 0.270 | 0.846 | 0.624 | 3.126 | 0.468 |
| 1° | 0.270 | 0.390 | 0.252 | 0.582 | 0.306 |
| 4° | 0.168 | 0.306 | 0.144 | 0.270 | 0.228 |
| 6° | 0.210 | 0.348 | 0.186 | 0.252 | 0.186 |
| 24° | 0.168 | 0.150 | 0.084 | 0.126 | 0.186 |
| 48° | 0.084 | 0.150 | 0.084 | 0.084 | 0.126 |
| 72° | 0.084 | 0.126 | 0.084 | 0.066 | 0.102 |
| * Mean value of five animals | |||||
Experiment 2: Acute toxicity test
| Test sample dosage (mg/kg) | logarithmic dosage (X) | No. of animals | No. of dead animals | death ratio (%) | provit unit (Y) |
| 250 | 2.3979 | 10 | 10 | 100 | |
| 200 | 2.3010 | 10 | 10 | 100 | 7.40 |
| 160 | 2.2041 | 10 | 8 | 80 | 5.84 |
| 128 | 2.1072 | 10 | 2 | 20 | 4.16 |
| 102.4 | 2.0103 | 10 | 0 | 0 | 2.60 |
| Calculation processing: by Bliss method LD₅₀ = 143.11 mg/kg LD₅₀: inside range of 95% reliability limit: 132.95 to 154.05 mg/kg |
|||||
Experiment 3: Osteogenesis test (1)
| Osteogenesis promotion function of compound 1-3 | ||
| addition concentration (M) | propagation period | calcification period |
| 10⁻⁹ | → | ↑ |
| 10⁻⁸ | → | ↑ ↑ |
| 10⁻⁶ | → | ↑ |
| * Transverse arrow indicates that osteogenesis did not exist and upward arrow indicates promotion of osteogenesis | ||
Experiment 4: Osteogenesis Experiment 2
| Osteogenesis promotion function of Compound 1-3 | |
| addition quantity (M) | Osteogenesis promotion |
| 10⁻⁸ | ↑ |
| 10⁻⁶ | → |
Experiment 5: Pharmacological study of anti-osteoporotic effect of compound 1-3
(i) Drugs:
Compound 1-3 (synthesized at School of Pharmacy West China University of Medical
Sciences). 0.1 N HCl was used to prepare a 10 mg/ml stock solution, and the experimental
concentrations were diluted with distilled water.
To 100 mg of estradiol (West China University of Medical Sciences (WCUMS)) were
added 5 ml of 90% alcohol and 20 ml of polyethylene glycol 400, and the mixture was
placed in water and heated to 90°C for dissolution. It was then diluted to 100 ml
with distilled water to prepare a 1 mg/ml stock solution.
Calcium preparation (both calcium carbonate and citric acid produced at Peking
Chemical Factory). 100 mM of citric acid was added to 100 mM of calcium carbonate
(2.1 g of citric acid was added to 1 g of calcium carbonate, and placed in 100 ml
of distilled water. Prepared prior to use). Labelled with ³H-TdR (Chinese Academy
of Sciences, Radiation Laboratory).
All other reagents and drugs were AR grade (Peking Chemical Reagents Co.)
(ii) Animals:
Wistar rats, 80 female, 20 male, 5-6 months old, body weight 260 ±10 g (China University
of Medical Sciences, Animal Laboratory); the body weights of all animals were measured
and recorded prior to the start of the experiment.
(iii) Grouping of animals for experiment
1. The healthy female Wistar rats were divided into 10 groups with 6 rats per group, which were assigned numbers as listed below. The 10 groups were as follows:
(1) 7-stage surgery group
(2) Control surgery group
(3) Low dosage (compound 1-3, 50 µg/rat/day)
(4) Medium dosage (compound 1-3, 500 µg/rat/day)
(5) High dosage (compound 1-3, 5 mg/rat/day)
(6) Compound 1-3, 500 µg/rat + 0.5 ml Ca
(7) Estradiol, 0.5 mg/rat/day
(8) Estradiol, 0.5 mg/rat/day + 0.5 ml Ca
(9) Compound 1-3, 500 µg/rat/day + 0.5 ml Ca (administered at 5th week after surgery)
(10) Compound 1-3, 500 µg (5th week after surgery), intraperitoneal administration
Groups 1-8 were given oral administration for 1 week after surgery. Group 9 was given oral administration for 5 weeks after surgery. Group 10 was given intraperitoneal administration from the 5th week after surgery.2. The healthy male Wistar rats were separated into 3 groups assigned as group 11 (Sham-operated), group 12 as an orchiectomized control, and group 13 which was given 500 µg/rat/day of compound 1-3 for 1 week after orchiectomy.
3. The animals in each group were administered 6 times a week, with the control group receiving distilled water, and at the 13th week all the animals were killed by decapitation, and blood and tissue samples were taken simultaneously.
(iv) Preparation of animal models
The experimental female Wistar rats of 5-6 weeks old with body weights of 260 ±10
g had been provided by the China University of Medical Sciences, Animal Laboratory.
They were starved for 12 hours prior to surgery. Each of the rats was anesthetized
by intraperitoneal injection of pentobarbital sodium (35 mg/kg) and fixed on their
back on the surgical board, and an approximately 33 mm hole was opened at the center
of the hypogastrium to expose the pink Y-shaped uterus. The dark red cystic globes
at the top of the uterus are the ovaries. The bottom section was ligated with silk
thread, and both ovaries were cut out with surgical scissors. After confirming lack
of bleeding, the muscle and skin were sutured, returning the uterus to its original
position. In Sham-operated group, the uteri were simply exposed without being cut
out. After surgery, penicillin was injected into the abdomen (80,000 units/rat) to
prevent infection. After a few hours, the rats returned to a normal state.
The testicles were removed from the experimental male Wistar rats using the same
anesthetic method, with Sham group having only a section of the skin of the testicles
opened and then sutured, without removal. The local area was disinfected.
(v) Observed indicators:
1. Body weight: Measured once a week
2. Vaginal smear of female rats was observed continuously for 6 days at the 10th week (proestrum, estrum, interval).
3. Urine was collected for 24 hours (12th week) and the urine Ca, P and creatine were measured.
4. The bone density of each rat was measured at the 13th week just before decapitation.
5. The animals were decapitated at the 13th week, and the following parameters were observed.
(1) Blood serum was taken, and the Ca, P and alkaline phosphatase contents were measured. (2) The uteri were taken and their weights were measured.
(3) The livers and kidneys were taken and each of them were observed for drug toxicity and drug reception.
(4) The bone stress of the right thigh bone was measured.
(5) 20% decalcified nitrate was added to the left thigh bone and observed for morphological changes.
(6) The right shank bone was incinerated, and the bone ash was weighed and measured for Ca and P.
(7) A receptor test was conducted on the left shank bone.
(vi) Cells cultivation
UMR106 cells were cultured in a DMEM/HamF-12 medium containing 10% FCS, under 37°C
and 5% CO₂. Digestion was performed once every 3 days with trypsin-EDTA, then succeeded.
1. ³H-TdR incorporation test.
The digestive cells were centrifuged at 2000 rpm × 10 min, and added DMEM/HamF-12
non phenol red medium containing 7.5% CS-FCS (4g NoritA charcoal + 100 ml FCS) then
3 × 10⁴/ml of cells were measured with 24-orifices of culture board (1 ml/orifice).
After 24 hours medium was replaced with DMEM/HamF-12 non phenol red containing 0.2%
FSA.
Test compounds (estradiol, compound 1-3) were administered after 48 hours cultivation.
0.5 µCi/orifice of ³H-TdR was administered for 32 hours. After 48 hours of administration,
washing was performed 5-6 times with PBS solution, 0.2 N NaOH was added at 1 ml/orifice,
and after 24 hours a toluene-triton scintillation solution was used for emission and
the value was measured.
2. Measurement of cell number
At 48 hours after the administration to the cells in the 24-orifice culture board,
cells were digested with trypsin-EDTA and counted.
3. The activity of ATP secreted from cells was measured.
1. Standards for judgment
At the 10th week after the operation, vaginal smear was microscopically observed
continuously for 6 days.
Index of estruation: Enormous volume of large indefinite keratinized epithelial
cells including a small volume of epithelial cells were observed.
Index of duration of estruation: Enormous volume of multinuclear white cells including
a small volume of epithelial cells were observed.
2. Results
Conclusion: Change of estruation was seen 3 times a week in Sham-operated group.
Change of estruation was seen 1-2 times for 1 week after operation, but all of the
groups administered the drug after operation showed change of estruation 4-6 times
in one week. This confirmed that the compound and E₂ influenced the change of estruation
of rats.
1. Compared with Sham-operated group.
After completion of operation on the operated group, compound 1-3 was orally administered
for 12 weeks in at 5 mg/d, 0.5 mg/d and 0.05 mg/d and intraperitoneally administered
for 6 weeks at 0.5 mg/d, and this was supplemented with E₂. The uterine weights all
showed clear decreases.
2. Compared with operated group.
After operation, there were slight increases in uterine weights in the groups given
5 mg/d and 0.05 mg/d of compound 1-3 orally for 12 weeks. This indicates that the
test compound has an increasing effect on uterine weight after operation.
| Results of bone density measurement | ||
| Group | BMD (mg/cm²) X ±SD | Comparison with surgery group |
| Sham-operated group | 291 ±8 n=6 | P < 0.05 |
| Operated group | 276 ±3 n=6 | |
| 0.05 mg compound 1-3 | 287 ±8 n=6 | P < 0.05 |
| 0.5 mg compound 1-3 | 295 ±6 n=6 | P < 0.01 |
| 5 mg compound 1-3 | 292 ±2 n=5 | P < 0.01 |
| 0.5 mg compound 1-3 + Ca²⁺ | 287 ±6 n=6 | P < 0.05 |
| 0.5 mg E₂ | 289 ±6 n=6 | P < 0.01 |
| 0.5 mg E₂ + Ca²⁺ | 287 ±8 n=6 | P < 0.05 |
| 0.5 mg compound 1-3 + Ca²⁺ (5 weeks after surgery) | 289 ±10 n=6 | P < 0.05 |
| 0.5 mg compound 1-3 (ip, 5 weeks after surgery) | 284 ±9 n=5 | P < 0.05 |
1. Blood Ca²⁺: The blood calcium levels were restored to a normal level by 5 mg/day
of compound 1-3. There was a clear difference between the treated group and the operated
control group, with P<0.01. There was no effect in the group given 0.05 mg/day of
compound 1-3.
E₂ treatment: With both simple administration of E₂ and in combination with the
calcium preparation, the blood calcium levels of OVX rats were restored. There was
a clear difference between the E₂ + Ca group and the operated control group, with
P<0.01.
2. Blood P: Blood P levels were restored with both 0.5 mg/day and 5 mg/day of compound 1-3, but the restoration was even clearer with 0.05 mg/day. The treated group had a clear difference compared to the surgery control group, with P<0.01.
1. Method: 3-point bending test with simple beam.
2. Direction: Front to back
3. Testing distance: 25 mm
4. Rupture strength defined as breaking weight, expressed in kg
5. Flexural strength expressed as breaking weight, with deviation in working point
expressed as kg/mm.
Each group was studied by t test and analysis of variance to determine the effect of compound 1-3 on the dynamic
indicators for thigh bones of the male and female rats, and no clear difference was
found.
Compound 1-3 was orally administered to the groups I to V and the dynamic indicators
of the thigh bones observed, but it was necessary to repeat the test because of a
failure in selection of the thigh bone material. The other groups were statistically
analyzed with no clear differences found. This was due to the small number of animals.
The test will have to be repeated.
Note: The flexural strength was referred to as the maximum breakage bending matrix
and the value was calculated using the following formula.
1. Addition of ³H-TdR: 10⁻¹⁰ M of E₂ had no effect on addition of ³H-TdR in UMR106 cells. 10⁻⁹ M to 10⁻⁷ M of E₂ clearly induced a peak value after addition of ³H-TdR to UMR106 cells, and the peak value changed to 10⁻⁷ M, which was a 63% increase in comparison to the control group. Compared with the E₂ group, the stimulating effect of compound 1-3 at 10⁻¹⁰ M and 10⁻⁸ M on UMR106 cells mixed with ³H-TdR was clearly stronger at respectively, P<0.001 and P<0.05, and compound 1-3 at 10⁻⁹ M and 10⁻⁷ M were 13% and 9% higher than E₂, respectively.
2. Measurement of number of cells: E₂ had no effect on the number of cells at 10⁻¹⁰ M, but at 10⁻⁹ M to 10⁻⁷ M the cell count increased, and the peak was at 10⁻⁷ M. Compound 1-3 clearly increased the number of cells at 10⁻¹⁰-10⁻⁷ M, with the peak concentration being 10⁻⁷ M. The effect of compound 1-3 was stronger than E₂, but there was no clear difference between the two.
3. Measurement of ALP activity:
(1) Measurement of activity of ALP in amniotic fluid: E₂ had no effect on amnionic ALP activity at 10⁻¹⁰ M. At 10⁻⁹-10⁻⁷ M, E₂ clearly increased ALP activity dose independently. Compound 1-3 also increased ALP activity in amniotic fluid at 10⁻¹⁰ to 10⁻⁷ M in a dose-dependent manner. The effects were stronger than E₂ at all concentrations, with clear differences (P<0.001).
(2) Measurement of activity of ALP secreted from culture solution: E₂ and compound 1-3 clearly stimulated an activity ALP secreted from UMR106 cells at all concentrations from 10⁻⁹ to 10⁻⁷ M, and although E₂ had no effect on the enzyme at 10⁻¹⁰ M, compound 1-3 at 10⁻¹⁰ M and 10⁻⁷ M produced enzyme activity which was 29% and 23% higher, respectively, than that of E₂ group. The compound 1-3 at 10⁻⁹ and 10⁻⁸ M also had a stronger effect than the E₂ group.
Experiment 6: Experiment report on drug effect of compound 1-3 on osteoporosis in castrated rats
1. Materials
1-1 Drugs. All of the drugs used in this experiment were provided by a team under Prof. Zheng Hu and were formulated according to request.
1-2 Animals. Female SD rats, 3 months old, body weight 180-220 g, provided by West China University of Medical Science, Animal Laboratory Center.
2. Experiment method
2-1. Grouping of animals and administration
The animals were observed for 1 week prior to the experiment, of which 150 were
selected and separated into 10 groups of 15 rats each.
Group 1 (Sham): Temporary operated group. Laparotomy was made and stomach of each animal was perfused with 1 ml of physiological saline 3 times a week.
Group 2 (OVX): Castrated group. Each animal was ovariectomized, and the stomach was perfused with 1 ml of physiological saline 3 times a week.
Group 3 (oral E₂): Orally administered E₂. Each animal was ovariectomized and the stomach was perfused 2 times a week, and only 0.8 mg/ml of 17β-estradiol was administered each time.
Group 4 (low oral): Orally administered compound 1-3 at low dosage. Each animal was ovariectomized and the stomach was perfused 3 times a week, and only 5 mg/ml was administered each time.
Group 5 (medium oral): Orally administered compound 1-3 at medium dosage. Each animal was ovariectomized and the stomach was perfused 2 times a week, and only 20 mg/ml was administered per rat each time.
Group 6 (high oral): Orally administered compound 1-3 at high dosage. Each animal was ovariectomized and the stomach was perfused 3 times a week, and only 80 mg/ml was administered each time.
Group 7 (injection E₂): Given E₂ injection. Each animal was ovariectomized and 200 µg/0.2 ml of 17-estradiol was injected 2 times a week, each time for the first 4 weeks and then at 7.5 µg/0.2 ml of 17β-estradiol was per rat for next 6 weeks.
Group 8 (low injection): Given low dose injection. Each animal was ovariectomized and 1 mg/0.2 mg of the compound 1-3 was injected 2 times a week, for the first 4 weeks and then 0.1 mg/0.2 ml was for the next 6 weeks.
Group 9 (medium injection): Given medium dose injection. Each animal was ovariectomized and 3.75 mg/0.2 ml of the compound 1-3 was injected 2 times a week, for the first 4 weeks and then 0.375 mg/0.2 ml for the next 6 weeks.
Group 10 (high injection): Given high dose injection. Each group was ovariectomized and 15 mg/0.2 ml of the compound 1-3 was injected 2 times a week, for the first 4 weeks and then 1.5 mg/0.2 ml for the next 6 weeks.
2-2 Butchering and observation of animals
At 11th week, animals were sacrificed by femoral arteriotomy and uterus was taken
out. After that, measurement of BMD of right shank bone, pathohistological inspection
of left shank bone, measurement of weight of right shank bone, biomechanics measurement
of left thigh bone, measurement of ash of right thigh bone and biochemical finding
and uterus weight were made.
2-3 Statistical analysis
All parameters were expressed by X ±SD. The parameters of each group were compared
with those of the castrated group, and the statistical level was 0.05.
3. Results
3-1. Effect of compound 1-3 on the body weight and the condition of whole body of
castrated rats
After 4 weeks from the start of the experiment, the rats in the group orally administered
compound 1-3 at a high dose, the groups given low and medium dose injections thereof,
and the group injected with E₂ exhibited erection of hair, inactive movement, epilation,
etc., and therefore the administration was suspended for one week to all of the test
animals. At the result of the administration of test compound with decreased dose
for latter 6 weeks, the above-mentioned phenomena were diminished or disappeared.
Upon completion of the experiments, all the groups exhibited a weight increase of
about 30-40%, except for the group given a high oral dose of compound 1-3, in which
the weight increase was suppressed (1.4%).
3-2. Biodynamic effect of compound 1-3 on bone of castrated rats
The bending resistance of the thigh bone of the Sham-operated rats was 97 newtons,
and this decreased to 80 newtons in the castrated group. There was a clear difference
between these two groups (P<0.05). The bending resistance of the thigh bone of the
rats in the groups given E₂ orally and by injection rose to 101 and 90 newtons, respectively,
which was a clear difference in comparison with the castrated group. The bending resistance
of the thigh bones of the rats in the groups given low, medium and high oral doses
of compound 1-3 were 105, 105 and 74 newtons, respectively, showing increases in the
low and medium dose groups in comparison with the castrated group, with a clear difference.
The bending resistance of the thigh bones of the rats in the groups given low, medium
and high injection doses of compound 1-3 were 83, 103 and 97 newtons, respectively,
with the medium and high dose groups showing clear differences in comparison with
the castrated group. This experiment was completed with the cooperation of the West
South Jiao Tong University Biomechanics Laboratory.
3-3. Effect of compound 1-3 on bone density of shank bone of castrated rats
The bone density of the castrated rat group was 0.037 g/cm and it was clearly lower
than the temporary operated group (0.072 g/cm), and the bone density of the rats in
the groups given E₂ orally and by injection increased to 0.057 and 0.065 g/cm, respectively.
The bone densities of the rats in the groups given compound 1-3 orally at low, medium
and high doses were 0.056, 0.062 and 0.064 g/cm, respectively. The bone densities
of the rats in the groups given the compound by injection at low, medium and high
doses were 0.054, 0.066 and 0.085 g/cm, respectively, and all of these were higher
than the castrated group and the relationship was dose-dependent.
3-4. Effect of compound 1-3 on weight of ash of thigh bone of castrated rats
The average weight of the femoral ash of the rats in the Sham-operated group was
0.246 g/rat, and lower in the castrated group at 0.227 g/rat, which was a clear difference
(P<0.05). The weight of ash of thigh bone of the groups given compound 1-3 orally
and by injection were all clearly higher than the castrated group, and either same
or higher the levels of the Sham-operated group.
3-5. Effect of compound 1-3 on thigh bone of castrated rats
The calcium content of the thigh bone of the castrated rats were clearly lower
than that of the Sham-operated group or of any of the treated groups (P<0.05). The
calcium content in thigh bone of the Sham-operated group was 308 mg/g, compared to
209 mg/g in the castrated group, 319 mg/g and 330 mg/g, respectively in the groups
given E₂ orally and by injection, 315, 321 and 322 mg/g, respectively in the groups
given compound 1-3 orally at low, medium and high doses, and 312, 315 and 322 mg/g,
respectively in the groups given injection of compound 1-3 at low, medium and high
doses. When compound 1-3 was administered orally or by injection, there was a constant
dose-dependent relationship with the calcium contents in thigh bone in all cases.
3-6. Effect of compound 1-3 on physiological change of shank bone of castrated rats
The bone-trabecula was normal in the pseudosurgery group. The bone-trabecula of
the castrated group were somewhat sparse and narrow, and bone-trabecula like bone
was increased. Wide sparse were found in some part of trabecular epiphyseal plate,
and the bone-marrow cavity widened apparently. Absorption lacunae on the surface of
trabecula and number of osteoclast increased apparently and become active. Osteoblast
also increased but the action of osteoclast was much more active. The density and
width of trabecula of the treated group with E2 and XW630 increased to some extent
but button type trabecula decreased apparently and number of active osteoclast and
osteoblast was decreasing.
3-7. Effect of compound 1-3 on uterine weight of castrated rats
The uterus of the castrated rats atrophied apparently and the weight also decreased
(0.17 g), which was clearly lower than that of the sham-operated group (0.37 g). In
the groups given E₂ orally and by injection, the weight of the uterus had clearly
increased (0.40, 0.21). In the groups given compound 1-3 orally at low, medium and
high doses, the uterus weight was 0.33, 0.45 and 0.48 g, respectively. In the groups
given compound 1-3 by injection at low, medium and high doses, the uterine weights
were 0.12, 0.23 and 0.40 g, respectively. The uterus weight in the groups given medium
and high doses of compound 1-3 was clearly higher than that of the castrated group,
unlike the groups given low doses orally and by injection.
3-8. See Table 10 for changes in indicators for compound 1-3 with comparison between each test group and the castrated group.
4. Intermediate summary
4-1. When compound 1-3 was administered orally and by injection, there were notable effects on the bone trabecular contents, bone density, bone biomechanism and bone calcium contents of the castrated rats, and it was possible to effectively maintain the bone substance stability after castration. There were notable differences in comparison with the castrated group. Some of the numerical values reached to or exceeded the levels of the Sham-operated group. This experiment showed that the group given a high oral dose of compound 1-3 had an increase in bone mass as usual though exhibiting toxic symptoms, but the bending resistance of the bone was very low.
4-2. When compound 1-3 was administered orally or by injection, the effect on bone mass, bone density, bone biomechanism, bone ash weight and bone calcium content of the castrated rats was in a constant dose-dependent relationship.
4-3. The effect of compound 1-3 on the bone substance of the castrated rats under these experimental conditions either was same or exceeded the therapeutic effect of E₂.
4-4. When the compound was administered orally or by injection at a low dose, there were notable effects of improvement on all of the various parameters of bone substance of the castrated rats. When the compound was administered orally at a low dose, the uterus increased slightly, but did not reach the level of the sham-operated group. When compound 1-3 was injected at a low dose, there was no effect on the weight of the uterus of the rats. This demonstrated that effective doses of compound 1-3 with a prophylactic effect on bone loss in castrated rats either have slight stimulating activity to uterus or no action.